NPIMap

Organization Active NPI

Metropolitan Home Health Care Inc

  • Home Health Agency
  • Glenview, IL
National Provider Identifier
1790778348
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010319 Issued in IL
Legal business name
METROPOLITAN HOME HEALTH CARE INC
Practice address
662 Waukegan Rd
Glenview, IL 60025-4348
Phone
(847) 568-1033
Fax
(847) 568-1034
NPI assigned
Aug 30, 2005
Last updated
May 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Renato Sotelo Morales, RN
Title
Owner/Secretary/Director of Nursing
Phone
(847) 568-1033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1010319 IL Primary

Addresses

Primary practice location

662 Waukegan Rd
Glenview, IL 60025-4348

Mailing address

662 Waukegan Rd
Glenview, IL 60025-4348
Phone (847) 568-1033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080429000646 IL Part A Provider - Home Health Agency 1456324474 Practice locations: Wheeling, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790778348. Details of each certification follow.

Home health agency certification: CCN 147786

Legal name
METROPOLITAN HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 30, 2004
Last certification
Nov 25, 2020
Ownership / control type
Proprietary
Organization structure
OtherProprietary
Incorporated
Nov 19, 2003 in IL
Enrollment address
340 E Dundee Rd
Wheeling, IL 60090-3176

Care Compare: Home health agency

Medicare Care Compare
Listed as
Metropolitan Home Health Care, IncCCN 147786 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Oct 30, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D1021895Metropolitan Home Health Care, Inc340 E Dundee Rd, Wheeling, IL 60090Certificate of waiverFeb 2, 2028

National Provider Directory

National Provider Directory

Locations

662 Waukegan Rd
Glenview, IL 60025
Phone (847) 568-1033

212 S Milwaukee Ave
Ste G
Wheeling, IL 60090
Phone (847) 568-1033

300 N Wolf Rd
Ste B
Wheeling, IL 60090
Phone (847) 568-1033

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Natalia Krokhmalyuk Individual 5% Or Greater Direct Ownership InterestAdministrator Nov 15, 2016 100%
W-2 Managing EmployeeAd; Nov 6, 2016 100%

Practitioners & affiliated clinicians

Affiliated clinicians 15

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1790778348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "662 WAUKEGAN RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600254348",
            "telephone_number": "847-568-1033",
            "fax_number": "847-568-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "662 WAUKEGAN RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600254348",
            "telephone_number": "847-568-1033",
            "fax_number": "847-568-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-30",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "RENATO",
        "authorized_official_middle_name": "SOTELO",
        "authorized_official_title_or_position": "OWNER/SECRETARY/DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "847-568-1033",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

Verify at the official NPI Registry.